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Randomized, double-blind trial of Lithostat (acetohydroxamic acid) in the palliative treatment of infection-induced urinary calculi.

Abstract
In a prospective, double-blind, placebo-controlled study, the efficacy and safety of acetohydroxamic acid (AHA) in preventing urinary calculogenesis was evaluated in 94 patients with chronic urinary infection. Stone growth occurred in 17% of the AHA group and in 46% of the placebo group (p less than 0.005). Completely reversible side effects consisting predominantly of psychoneurologic and musculo-integumentary symptoms were more prevalent in the AHA group (p less than 0.01). Side effects which were judged 'intolerable' were experienced by 10 (22.2%) of patients in the AHA group and 2 (4.1%) in the placebo group. It is concluded that AHA treatment is effective, relatively safe, and clinically useful in preventing infection-induced urinary calculogenesis.
AuthorsD P Griffith, M J Gleeson, H Lee, R Longuet, E Deman, N Earle
JournalEuropean urology (Eur Urol) Vol. 20 Issue 3 Pg. 243-7 ( 1991) ISSN: 0302-2838 [Print] Switzerland
PMID1726639 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Hydroxamic Acids
  • Magnesium Compounds
  • Phosphates
  • Placebos
  • acetohydroxamic acid
  • Struvite
  • Magnesium
Topics
  • Adult
  • Aged
  • Bacteriuria (complications)
  • Chronic Disease
  • Double-Blind Method
  • Female
  • Humans
  • Hydroxamic Acids (therapeutic use)
  • Magnesium
  • Magnesium Compounds
  • Male
  • Middle Aged
  • Palliative Care
  • Phosphates
  • Placebos
  • Prospective Studies
  • Struvite
  • Urinary Calculi (drug therapy, etiology, prevention & control)

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